Breast Cancer Protocols: Technical Notes 2  

Series #

Examples

Series 1 & 2.  SCOUTS

  • Axial & Sagittal
  • Cover both breasts
  • Sagittal – 5 slices through midline of each breast

Series 3.  SAG T2 FSE

  • Affected breast only
  • Scan Left to Right

Series 4.  AXIAL T1 FSE

  • Scan top to bottom
  • Affected breast only

Series 5.  SAG T2 FAT SAT

  • Match #3

Series 6.  DYNAMICS 

  • Always cover both breasts
  • Match series 3, then add rx of other breast
  • Run Pre gad series, inject 1.5 dose gad, delay 20 sec
  • Run 3 POST phases (20s, 3 min, 6 min)

Series 7.  AXIAL POST GAD FAT SAT SPGR

  • Always image both breasts
  • Match #4

SUBTRACTION IMAGES: DYNAMIC SERIES

  • 1ST PHASE MINUS  PRE GAD= new save series
  • 3RD PHASE MINUS  PRE GAD= new save series
  • Both left and right breasts
Enhancement Curves
  • Have Radiologist choose suspicious regions
  • Label region by quadrant (i.e. right upper outer) and letter (A, B, C) if there is more than one area per quadrant
  • Screen save the image with the ROI cursor first, then save the graph